Provider Demographics
NPI:1851426514
Name:FERRITO, JOSEPH R (AUD)
Entity Type:Individual
Prefix:DR
First Name:JOSEPH
Middle Name:R
Last Name:FERRITO
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6140 CAMINO VERDE DR
Mailing Address - Street 2:SUITE I
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95119-1401
Mailing Address - Country:US
Mailing Address - Phone:408-225-0688
Mailing Address - Fax:408-225-3777
Practice Address - Street 1:6140 CAMINO VERDE DR
Practice Address - Street 2:SUITE I
Practice Address - City:SAN JOSE
Practice Address - State:CA
Practice Address - Zip Code:95119-1401
Practice Address - Country:US
Practice Address - Phone:408-225-0688
Practice Address - Fax:408-225-3777
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-22
Last Update Date:2017-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAU471231H00000X
CAHA1232237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes231H00000XSpeech, Language and Hearing Service ProvidersAudiologist
No237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAZZZ80656ZMedicaid
77-0163228OtherTAX ID NUMBER
CAZZZ80656ZMedicare UPIN